Individual
ROBERT WILLIAM WAGIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.S., PA-C
Contact information
Practice address
130 2ND ST, NEENAH, WI 54956-2883
(920) 729-2060
Mailing address
4490 N BULL RUSH DR, APPLETON, WI 54913-8173
(920) 222-9208
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
04/13/2021
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